ABFM Exam Questions
Child with head lice
rx'd with shampoo permethrin
nevertheless has nits in her
can she go to school? - ANSyes
so long as preserve home remedy, nit combing and repeat permethrin shampoo in 6 days
is diverticular bleeding painful? - ANSno
- abdominal pains
BP advice for >sixty five - ANS150/90
younger boy
left hip ache
afebrile
ESR normal
WBC ordinary
Radiograph knee and hip normal
dx?
Rx? - ANStransient synovitis
rx: nsaids
rx for SVTs but short-time period and llong time period - ANSCCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on durations
regular TSH
normal Hct
regular RBC depend
MCV <80
what lab test next? - ANSHgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - ANSasymmetrical weakness in legs, feet, ankles
slurred speech
,trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - ANSdetrusor instability
what diabetes medications are good for prevention of developing DM in pre-diabetes pt -
ANSmetformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - ANSdifficulty opening mouth
rx management for concussion - ANSphysical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
Lung cancer screening recommendation - ANSANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently
smoke or have quit smoking within the past 15 years.
Non-medical indicated (elective) induction of labor or C-section deliveries should be
scheduled at what GA? - ANS39wks 0 d
drug to prevent seizure in alcohol withdrawal - ANSbenzos
initial rx allergic rhinitis - ANSintranasal steroids
most effective medication to prevent relapse in alcohol abuse - ANSnaltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - ANSparoxetine
- anticholinergic effects
screen for autism at what age in kids? - ANS18 - 24months
bacterial vaginosis has vagina pH ? - ANS>4.5
29 yo female
,30weeks gestation
acquired Tdap 3 years ago
what vaccine ought to she receive? - ANSTdap once more
27 -36 weeks gestation, irrespective of once they final acquired it
rx for acute gout
pt has HTN and CKD - ANSprednisone
word: nsaids, colchicine and steroids may be used for acute gout...But prednisone is
pleasant in CKD
mcc med-brought about destructive drug activities in US - ANSanti-coags
most not unusual danger thing for simple cystitis - ANSFrequent sexual intercourse
others:
- spermicide use
- preceding UTI
- new intercourse accomplice
- fam hx UTI in first degree lady relative
first line rx primary dysmenorrhea - ANSnsaids
surveillance for barett's esophagus without dyspasia - ANSendoscopy q three years
excellent preliminary rx for keloid - ANSintralesional corticosteroid injections.
Rx osteoporosis if 10yr danger of principal osteoporotic fracture > ___ % - ANS20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - ANScalcium and vit d dietary supplements
test for meniscus tears - ANSthessaly check
This patient has low strength, menstrual irregularities, and a records of stress fractures, BMI
<18...Is consistent with ______ dx?
What test does she need? - ANSthe female athlete triad.
She is at risk for altered bone density and needs a bone mineral density test.
Pt with exercise induced asthma
pt can prevent this by? - ANSalbuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - ANSyes
, also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% must be started on? - ANSmoderate-or-excessive depth statin
note:
- fibrates do not have impact on CVD and are not a part of advice suggestions
what pneumococcal vaccine should 65yo receive - ANSPCV13 now and PPSV23 in 1 12
months
mcc listening to loss in newborn - ANSgenetics
A 32-year-antique female at 12 weeks gestation presents with an itchy vulvar lesion, that you
diagnose as external genital warts. Which one of the following could be correct
recommendation
regarding remedy?
- The recurrence fee is low with remedy
- Cryotherapy is the only remedy
- Treatment should be based totally on patient desire
- Treatment is powerful in stopping congenital transmission - ANSTreatment of genital warts
have to be based on affected person choice and value. There isn't any remedy that is
greater effective than others, and the recurrence rate for any remedy is rather high.
Pt took greater tablet prescribed by way of psychiatrist
PMH: depression
everyday RR, HR
diaphoretic
resting symmetrical tremor
4+ reflexes
dx? - ANSderotonin syndrome
pt SOB
d-dimer is high quality
what test to order next? - ANSCT angiography of chest
pt enjoy boom in floaters but no longer light flashes or loss of imaginative and prescient
darkish spot in the outer edge of her proper eye - ANSretinal detachment
rx COPD exacerbations - ANSPrednisone, 40 mg every day for 5 days
Child with head lice
rx'd with shampoo permethrin
nevertheless has nits in her
can she go to school? - ANSyes
so long as preserve home remedy, nit combing and repeat permethrin shampoo in 6 days
is diverticular bleeding painful? - ANSno
- abdominal pains
BP advice for >sixty five - ANS150/90
younger boy
left hip ache
afebrile
ESR normal
WBC ordinary
Radiograph knee and hip normal
dx?
Rx? - ANStransient synovitis
rx: nsaids
rx for SVTs but short-time period and llong time period - ANSCCB eg verapamil, diltiazem
16 yo
fatigue
on OCPs
low bleed on durations
regular TSH
normal Hct
regular RBC depend
MCV <80
what lab test next? - ANSHgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - ANSasymmetrical weakness in legs, feet, ankles
slurred speech
,trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - ANSdetrusor instability
what diabetes medications are good for prevention of developing DM in pre-diabetes pt -
ANSmetformin
"alpha-glucosidase inhibitors (acarbose)
orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - ANSdifficulty opening mouth
rx management for concussion - ANSphysical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
Lung cancer screening recommendation - ANSANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently
smoke or have quit smoking within the past 15 years.
Non-medical indicated (elective) induction of labor or C-section deliveries should be
scheduled at what GA? - ANS39wks 0 d
drug to prevent seizure in alcohol withdrawal - ANSbenzos
initial rx allergic rhinitis - ANSintranasal steroids
most effective medication to prevent relapse in alcohol abuse - ANSnaltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - ANSparoxetine
- anticholinergic effects
screen for autism at what age in kids? - ANS18 - 24months
bacterial vaginosis has vagina pH ? - ANS>4.5
29 yo female
,30weeks gestation
acquired Tdap 3 years ago
what vaccine ought to she receive? - ANSTdap once more
27 -36 weeks gestation, irrespective of once they final acquired it
rx for acute gout
pt has HTN and CKD - ANSprednisone
word: nsaids, colchicine and steroids may be used for acute gout...But prednisone is
pleasant in CKD
mcc med-brought about destructive drug activities in US - ANSanti-coags
most not unusual danger thing for simple cystitis - ANSFrequent sexual intercourse
others:
- spermicide use
- preceding UTI
- new intercourse accomplice
- fam hx UTI in first degree lady relative
first line rx primary dysmenorrhea - ANSnsaids
surveillance for barett's esophagus without dyspasia - ANSendoscopy q three years
excellent preliminary rx for keloid - ANSintralesional corticosteroid injections.
Rx osteoporosis if 10yr danger of principal osteoporotic fracture > ___ % - ANS20%
pt with osteopenia (T <2.5)
risk of fracture <20%
what meds do you start on - ANScalcium and vit d dietary supplements
test for meniscus tears - ANSthessaly check
This patient has low strength, menstrual irregularities, and a records of stress fractures, BMI
<18...Is consistent with ______ dx?
What test does she need? - ANSthe female athlete triad.
She is at risk for altered bone density and needs a bone mineral density test.
Pt with exercise induced asthma
pt can prevent this by? - ANSalbuterol 10-15min before exercise
does ankylosing spondylitis improve with exercise and activity? - ANSyes
, also note:
- pain worse in evening
- stiffness worse in morning
pt wwith ASCVD risk >7.5% must be started on? - ANSmoderate-or-excessive depth statin
note:
- fibrates do not have impact on CVD and are not a part of advice suggestions
what pneumococcal vaccine should 65yo receive - ANSPCV13 now and PPSV23 in 1 12
months
mcc listening to loss in newborn - ANSgenetics
A 32-year-antique female at 12 weeks gestation presents with an itchy vulvar lesion, that you
diagnose as external genital warts. Which one of the following could be correct
recommendation
regarding remedy?
- The recurrence fee is low with remedy
- Cryotherapy is the only remedy
- Treatment should be based totally on patient desire
- Treatment is powerful in stopping congenital transmission - ANSTreatment of genital warts
have to be based on affected person choice and value. There isn't any remedy that is
greater effective than others, and the recurrence rate for any remedy is rather high.
Pt took greater tablet prescribed by way of psychiatrist
PMH: depression
everyday RR, HR
diaphoretic
resting symmetrical tremor
4+ reflexes
dx? - ANSderotonin syndrome
pt SOB
d-dimer is high quality
what test to order next? - ANSCT angiography of chest
pt enjoy boom in floaters but no longer light flashes or loss of imaginative and prescient
darkish spot in the outer edge of her proper eye - ANSretinal detachment
rx COPD exacerbations - ANSPrednisone, 40 mg every day for 5 days
